Active NPI
Grady Murray, MS, RDN. LDN
- Registered Dietitian
- Dothan, AL
National Provider Identifier
1992412746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 5048
- Practice address
- 400 Westbrook Rd
Dothan, AL 36303-2971 - Phone
- (904) 451-7689
- NPI assigned
- Nov 1, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 5048 | AL | Primary |
Addresses
Primary practice location
400 Westbrook Rd
Dothan, AL 36303-2971
Mailing address
400 Westbrook Rd
Dothan, AL 36303-2971
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.pineapplepathway.com | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, VA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1309 Jamestown Rd
Suite 102
Williamsburg, VA 23185-3380
Phone (757) 585-3441
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5048 | AL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lwell LLC | Dietitian, Registered | Current | Accepting new patients |
Locations
3705 Strawberry Plains Rd
Ste B
Williamsburg, VA 23188
1309 Jamestown Rd
Ste 102
Williamsburg, VA 23185
Phone (757) 220-4917
1309 Jamestown Rd
Ste 101
Williamsburg, VA 23185
Phone (757) 220-0645
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667260800000",
"number": "1992412746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 WESTBROOK RD",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363032971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 WESTBROOK RD",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363032971",
"telephone_number": "904-451-7689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURRAY",
"first_name": "GRADY",
"credential": "MS, RDN. LDN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-11-01",
"last_updated": "2022-11-01",
"certification_date": "2022-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AL",
"license": "5048",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.pineapplepathway.com",
"affiliation": "N",
"endpointDescription": "website",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "contact information",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "400 Westbrook Rd",
"city": "Dothan",
"state": "AL",
"country_code": "US",
"postal_code": "363032971",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Dothan, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.